NPI | 1528737871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH20389) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL PMH1781) |
Enumeration Date | 2021-09-09 |
Last Update Date | 2022-03-23 |